15 months ago, I experienced vertigo and after a few weeks headaches a condition which was diagnosed as MAV (Migraine Associated Vertigo). I was on Sibellium (fluronazine) for 6 months and was much much better. After stop taking the pills though, it all started again. I tried Sibellium again , I even tried Topamax for 3 weeks but nothing worked. Has my condition evolved into something resistant to medication from now on? Will I spend the rest of my life with daily headaches and dizziness? Despina.
Dear Despina;Unfortunately, it's quite common for a medication that did work to not work again if it's discontinued then restarted. Nobody knows why that happens, but it does.
Three weeks was far too short a trial for the Topamax. It can take up to three months to give it a fair trial and know if it's going to work for you. In fact, that's the case with most medications used for Migraine prevention.
It's doubtful that your condition has evolved as you asked, but it could take some time and patience to explore other medications and find what works for you. The big thing is not to lose hope or give up. There are many medications of various types that can be tried.
John Claude Krusz and Teri Robert
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Dr. Krusz is a recognized expert in the fields of headache and Migraine treatment and pain treatment. Each week, he and Lead Expert Teri Robert, team up to answer your questions about headaches and Migraines. You can read more about Dr. Krusz or more about Teri Robert.
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Published On: February 28, 2013